Abstract
Purpose
Light is a salient cue that can influence neurodevelopment and the immune system. Light exposure out of sync with the endogenous clock causes circadian disruption and chronic disease. Environmental light exposure may contribute to developmental programming of metabolic and neurological systems but has been largely overlooked in Developmental Origins of Health and Disease (DOHaD) research. Here, we investigated whether developmental light exposure altered programming of visual and metabolic systems.
Methods
Pregnant mice and pups were exposed to control light (12:12 light:dark) or weekly light cycle inversions (circadian disruption [CD]) until weaning, after which male and female offspring were housed in control light and longitudinally measured to evaluate differences in growth (weight), glucose tolerance, visual function (optomotor response), and retinal function (electroretinogram), with and without high fat diet (HFD) challenge. Retinal microglia and macrophages were quantified by positive Iba1 and CD11b immunofluorescence.
Results
CD exposure caused impaired visual function and increased retinal immune cell expression in adult offspring. When challenged with HFD, CD offspring also exhibited altered retinal function and sex-specific impairments in glucose tolerance.
Conclusions
Overall, these findings suggest that the light environment contributes to developmental programming of the metabolic and visual systems, potentially promoting a pro-inflammatory milieu in the retina and increasing the risk of visual disease later in life.
Keywords: circadian disruption, environmental light, inflammation, high fat diet (HFD), Developmental Origins of Health and Disease (DOHaD)
The Developmental Origins of Health and Disease (DOHaD) hypothesis posits that early life exposures affect disease risk later in life.1 The DOHaD framework began with epidemiological studies of nutrition, which found that mismatch between developmental and later life environment, such as undernutrition in utero and rich postnatal diet, increased diseases such as hypertension and diabetes.2 Like nutrition, light is a salient biological cue and can prime metabolic, immune, endocrine, and neurological systems to alter the trajectory of health and disease.3–7
Light exerts many effects via the circadian system, molecular and physiological “clocks” that regulate biochemical and signaling processes.8 Light acts as a “zeitgeber,” or “time giver, to synchronize the body's central and peripheral clocks, and is the most powerful entraining cue. Given the crosstalk among the circadian system, metabolism, neurological function, and the immune system, circadian disruption can cause dyslipidemia,9 glucose intolerance,10,11 cognitive impairment,12–14 and altered immune function15–18 in both epidemiological and animal studies.19 Shift work, an occupational cause of circadian disruption, increases the risk of diabetes and cardiometabolic disease20,21; likewise, rodents developmentally exposed to chronodisruption develop glucose intolerance as adults.3,22
A window to the brain, the retina can serve as a marker of neurological health.23 Circadian clocks function in ocular tissues and regulate processes, such as retinal differentiation, intraocular pressure, photoreceptor disc shedding, and visual processing,24–26 the dysregulation of which can lead to visual impairment and blindness.27 Similar to the brain, the retina has high metabolic demands and is affected by metabolic disorders, such as diabetes. Unfortunately, environmental light exposure has been largely overlooked in studies of DOHaD and developmental programming.
Given the rapid rise in technologies and behavior that contributes to circadian disruption, the question of how our modern light environment relates to human development and disease is important.28,29 DOHaD studies evaluate disease trajectories after a developmental insult in the mother, followed by a challenge to the offspring, termed the “first hit/second hit” framework.30 The “second hit” can expose existing vulnerabilities that may not be obvious at baseline. Therefore, to investigate the impacts of developmental light environment on metabolic and neurological programming, mice were exposed to developmental circadian disruption and challenged with a high fat diet (HFD) later in life.
Methods
Animals and Developmental Light Treatment
All experimental procedures were approved by the Institutional Animal Care and Use Committee of the Atlanta Veterans Affairs Healthcare System and conducted in accordance with the Association for Research in Vision and Ophthalmology Statement for the Use of Animals in Ophthalmic and Vision Research. The C57BL/6J offspring used in this study were bred in-house from C57BL/6J mice obtained from Jackson Laboratories (Bar Harbor, ME, USA). Male breeders were singly housed in standard conditions (ad libitum chow, 12:12 lighting) and female breeders were randomized and housed in large, wire-top cages. Naïve female breeders acclimated for 2 weeks in standard (12:12 light:dark) light conditions before randomization to either control treatment lighting (CL, n = 12) conditions (12:12 light:dark) or circadian disruption (CD, n = 13) lighting conditions where light cycle was inverted every 3 to 4 days (Fig. 1A), similar to other developmental studies.22,31 White LED light composition was measured with an Exemplar Smart CCD Spectrometer (B&W Tek, Newark, DE, USA) and spectra validated to be characteristic of neutral white LED light, with a peak at 450 nm and rounded peak around 575 nm. Lux levels were tested and calibrated to be equal between the two light treatment groups and ranged between approximately 50 to 400 lux, depending on the position and depth of the lux meter (Dual-range light meter 3151CC; Traceable, Webster, TX, USA) in the cage; lux measurements at the wire-top neared 400 lux due to proximity to the light source, whereas lux measurements taken from the cage floor underneath the food holder were around 50 lux. Mice from the CL and CD groups were housed in the same cage type and setup, so luminance ranges were equal between the groups.
After 4 weeks of light treatment, 2 females, one from each light treatment group, were placed in a male's cage for 2 days for timed breeding during concordant light schedules before being returned to their home cages. Females were checked for vaginal plugs after pairings and weighed to confirm pregnancy. Nonpregnant females were re-paired with the same male. Dams and pups remained in CD or CL light treatments until weaning at three weeks of age (Fig. 1B). Developmental light treatment and dam ID were recorded for each pup and kept masked for the duration of the experiment.
From weaning onward, offspring were housed in standard lighting conditions (12:12 light:dark). Offspring were fed standard rodent chow (Teklad Rodent Diet 2018 irradiated 2918; Envigo Tekland, Madison, WI, USA) ad libitum from weaning until 8 weeks of age. Immediately following the glucose tolerance test (GTT) at 8 weeks of age, mice were randomized to receive either Western-style HFD (42% calories from fat, TD.88137; Envigo Tekland) or ingredient-matched control diet (CON; 13% calories from fat, TD.08485; Envigo Tekland) ad libitum for the duration of the experiment (Fig. 1B). At 22 weeks of age, adult offspring were euthanized between 10 AM and 12 PM (zeitgeber time [ZT] ZT4-ZT6) and tissue samples collected and flash frozen or preserved for cryosectioning and stored at −80°C until further analysis.
Actigraphy
Activity patterns of female mice exposed to CL or CD were measured using custom-built Arduino-based passive infrared motion detectors (PIRs; Fig. 2A)32 that collected activity data every 10 seconds. Actigraphy data from PIRs was further validated with running wheels (ENV-047; Med Associates Inc., St. Albans, VT, USA). Actograms from PIRs and running wheels were created in ImageJ using the ActogramJ plugin.33 Measures of intradaily stability, intradaily variability, and relative amplitude were calculated using the nparACT package in R software.34
Serum Lipids and Glucose Panel
Dams were euthanized at weaning between 9 AM and 11 AM (ZT 3–ZT 5) during concordant light schedules. Serum was collected (1.1 mL Z-gel microtube; Sarstedt, Germany) and stored at −80°C. Serum samples were analyzed for lipids, glucose, and free fatty acids (FFAs) on a Beckman Coulter AU480 chemistry autoanalyzer (Brea, CA, USA) using Sekisui Diagnostics (Burlington, MA, USA) reagents and calibrators.
Weekly Weight and Blood Glucose
Mice were measured weekly for body weight and blood glucose (mg/dL) using a handheld glucometer (FreeStyle Lite; Abbott Diabetes Care, Alameda, CA, USA). Prior to glucose recording, the tail was gently cleaned to remove any debris, lightly pricked with an insulin needle (BD insulin syringe #32946), and a drop of blood collected on the glucometer strip.
Glucose Tolerance Testing
Intraperitoneal (IP) GTT was performed at 4, 8, 12, 16, and 20 weeks of age. On the day of the test, food was removed at 7 AM (ZT 1) and mice fasted for 6 hours. At 1 PM (ZT 7), baseline blood glucose (mg/dL) of mice was measured just prior to IP injection of glucose solution (D+ glucose in dH2O, 2g/kg)35 and ensuing blood glucose (mg/dL) levels were recorded at 15, 30, 60, and 120 minutes postinjection using a handheld glucometer (FreeStyle Lite; Abbott Diabetes Care). To summarize the hyperglycemia response, area under the curve (AUC) was calculated for each mouse using the trapezoidal method.36
Optomotor Response Testing
Visual function was measured with optomotor response (OMR) testing at 5, 9, 13, 17, and 21 weeks of age, as previously described37–39 using the OptoMotry system (Cerebral Mechanics, USA).40 Briefly, a mouse was placed on a central pedestal in an enclosed chamber of monitors, which display rotating vertical sine wave gratings of varying spatial frequency (with contrast set at 100%) or varying grating contrast (with spatial frequency set at 0.103 cycles/degree). A trained observer marked when the characteristic head tracking movement occurred (or did not occur) through a programmed staircase method to calculate the visual threshold. Measurements from the left and right eye were averaged for a combined visual threshold score. Contrast threshold results were converted to Michelson contrast values.41
Electroretinography
Retinal function was measured using electroretinography (ERGs) at 5, 9, 13, 17, and 21 weeks of age, following OMR testing. Mice were dark-adapted overnight, anesthetized with an IP injection of ketamine (80 mg/kg) and xylazine (16 mg/kg), placed on a heating pad (37°C to maintain body temperature), and given corneal numbing drops (0.5% tetracaine hydrochloride; Bausch and Lomb) and drops for pupil dilation (1.0% tropicamide solution; Sandoz, Alcon) under dim red light. Anesthetized mice were placed on a heated platform (37°C to maintain body temperature) and ground and reference electrodes inserted into the tail and each cheek (Natus neurology Genuine Grass Platinum Subdermal Electrodes #F-E2-48). Custom-made gold loop recording electrodes were gently placed on each cornea and methylcellulose drops (1% carboxyl methylcellulose, Refresh Celluvisc; Allergan) applied after placement to prevent eye dryness and maintain electrode connection. Post-measurement, mice were given an IP injection of atipamezole (1 mg/kg) (Antisedan; Zoetis, Parsippany, NJ, USA) to counteract the effects of anesthesia,42 saline eye drops, and allowed to recover on a heating pad (37°C) before being returned to housing.
ERGs were performed using a 6-step protocol comprised of 5 scotopic stimuli of increasing luminance (−2.5, −1.9, −0.6, 0.8, and 1.9 log cd s/m2) followed by a 10-minute light adaptation step (1.5 log cd s/m2) and final flicker photopic stimulus (1.4 log cd s/m2 at 6.1 Hz) 43,44; this protocol measured the rod-dominated, mixed, and cone-dominated retinal responses. For the ERGs performed at 21 weeks of age, an additional photopic step was included to measure blue/green cone (M-opsin) response using a green LED flash (530 nm, 0.1 log cd s/m2) following the photopic flicker step. Retinal responses were recorded, oscillatory potentials (OPs) extracted (75–500 Hz), and signals averaged using the LKC software (UTAS BigShot; LKC Technologies, Gaithersburg, MD, USA); waveforms were marked in MATLAB (Mathworks, Natick, MA, USA). For each mouse, the waveform from the eye with the highest b-wave amplitudes from the brightest dark-adapted step (flash stimulus = 1.9 log cd s/m2) was used for analysis.
Retinal Immunofluorescence Microscopy
Fresh whole eyes were fixed in 10% neutral buffered formalin and cryoprotected in 30% sucrose. Tissues were embedded and frozen in optimal cutting temperature compound and sliced into 10-µm-thick sections. Blocking (with 0.1% Triton X-100) and primary antibody incubations on retinal sections were in 5% normal donkey serum in PBS and washed with PBS. Primary antibody incubations using Iba1 (ab178847; 1:100; Abcam) and CD11b (14-0112-82; 1:100; Invitrogen) were performed for 16 to 24 hours at 4°C. Secondary antibody incubations using Alexa Fluor 488 Donkey anti-mouse IgG (A-21202; 1:500) and Alexa Fluor 647-conjugated Donkey anti-rabbit IgG (A-31573; 1:500) and tissue nuclei visualized with nuclear stain 4′,6-diamidino-2-phenylindole (DAPI, 62247; Thermo Fisher Scientific). Coverslips were mounted using Prolong Gold (P36934; Thermo Fisher Scientific). Retinal tissue (n = 4–7 mice/group; 2–3 images per sample) images were taken on an Olympus Fluoview1000 confocal microscope (Center Valley, PA, USA) with a 20 times objective and a Lumenera INFINITY 1-3C USB 2.0 Color Microscope camera (Spectra Services, Ontario, NY, USA) by a researcher masked to treatment group. All images were compiled and quantified using ImageJ software. Fluorescence for each image was quantified by dividing the mean fluorescence by the imaging area; mean fluorescence across images was then averaged for each sample for statistical analysis.
Statistical Analysis and Data Availability
Longitudinal metabolic and visual measures were analyzed using 2-way ANOVA or mixed models (in the case of missing data) with post hoc Dunnett tests to compare treatment groups to the CL + CON control group, correcting for multiple comparisons. Nonlongitudinal data was measured using a 1-way ANOVA with post hoc Dunnett tests to compare treatment groups to the CL + CON control group, correcting for multiple comparisons. Dam serum results, intradaily stability, intradaily variability, and relative amplitude were analyzed with Student's unpaired 2-tailed t-tests. Data are displayed as mean ± SEM and results were considered significant if P < 0.05. Statistical analyses were performed using GraphPad Prism version 9.0.0 and R version 3.2. Data and R code are available at: https://github.com/dclarktown/Light_mice (DOI:10.5281/zenodo.4536522).
Results
Circadian Disruption during Development Alters Activity Patterns
Actigraphy data confirmed that, compared to CL (Figs. 2B, 2C), CD treatment altered activity patterns (Figs. 2B, 2D), similar to other studies using the same light paradigm31,45; results were validated with running wheels (Fig. 2E). Disrupted mice had decreased intradaily stability and relative amplitude, suggesting weaker coupling to zeitgebers (e.g. light) and dampening of circadian rhythms in CD mice; however, there was no difference in intradaily variability, a marker of activity fragmentation (Figs. 2F–H).
Circadian Disruption Alters Maternal Serum Glucose
At weaning, CD dams had significantly higher serum glucose (Fig. 3A; Student's unpaired t-test [t = 2.892, df = 7], P = 0.023) than CL dams. Serum FFAs, triglycerides, total cholesterol, and high density lipoproteins (HDLc) did not differ between groups (Figs. 3B–E).
HFD Has Sex-Specific Influences on Body Weight and Blood Glucose
Male mice fed an HFD developed higher body weight over time (Fig. 4A). Irrespective of developmental light treatment, male HFD groups were significantly heavier than the control groups (mixed-effects, group*time: F(51, 559) = 22.77, P < 0.0001), starting just 1 week after diet treatment (9 weeks of age, P < 0.05) and continuing until the end of the experiment (21 weeks of age, P < 0.001). Although the interaction was significant (mixed-effects, group*time: F(51, 549) = 3.280, P < 0.0001), female mice fed an HFD did not significantly differ in body weight in post hoc analyses (Fig. 4B).
Weekly blood glucose measurements varied considerably; male mice fed an HFD with developmental circadian disruption had significantly higher nonfasted blood glucose levels (mixed-effects, group*time: F(36, 386) = 1.742, P = 0.006) at 19 weeks of age compared to the control group (P < 0.05; Fig. 4C). Female mice fed an HFD with developmental circadian disruption had slightly lower nonfasted blood glucose levels at 10 weeks of age compared to the control group (mixed-effects, group*time: F(36, 385) = 1.629, P = 0.0146, P < 0.05; Fig. 4D). There were no differences in fasted blood glucose levels between groups (Figs. 4E, 4F).
HFD and Developmental Disruption Impair Glucose Tolerance
There were no differences in glucose tolerance between groups at 4 or 8 weeks of age (Fig. 5, Supplementary Fig. S1), prior to diet treatment. However, at 12 and 16 weeks of age, there were significant interactions between sex and treatment (2-way ANOVA, sex*diet: P < 0.01), with HFD males displaying impaired glucose tolerance after 1 month of diet treatment. CD + HFD males also developed elevated blood glucose more rapidly postinjection compared to CL + CON (mixed-effects, group*time: F(12, 132) = 4.130, P = 0.0001, P < 0.05; Supplementary Fig. S1E). This trend of worsened glucose tolerance in the male CD + HFD and CL + HFD groups continued at 16 and 20 weeks of age (P < 0.05; see Fig. 5A, Supplementary Fig. S1G, S1I), whereas females did not differ in glucose tolerance until CD + HFD females developed elevated glucose at 20 weeks of age (mixed-effects, group*time: F(12, 126) = 3.069, P = 0.0008, P < 0.05; see Fig. 5B, Supplementary Fig. S1J).
Developmental Circadian Disruption and HFD Reduce Visual Function
OMR results did not differ at baseline, but by 9 weeks of age (1 week after diet start), CD + HFD mice exhibited decreased spatial frequency (mixed-effects, group*time: F(12, 275) = 14.33, P < 0.0001, P < 0.001; Fig. 6A); at 13, 17, and 20 weeks of age, CD + HFD and CL + HFD had decreased spatial frequency, and at 20 weeks of age CD + CON had decreased spatial frequency compared to CL + CON (P < 0.01; see Fig. 6A). Likewise, CD + HFD and CL + HFD exhibited decreased contrast sensitivity at 9 and 13 weeks of age, and all groups had decreased contrast sensitivity at 17 and 20 weeks of age compared to CL + CON (mixed-effects, group*time: F(12, 275) = 8.233, P < 0.0001, P < 0.05; see Fig. 6B). Although there were no significant interactions between sex and treatment, sex as a main effect was significant for frequency at 5, 9, and 13 weeks and for contrast at all time points, with males having slightly higher visual acuity.46
Developmental Disruption Alters Retinal Function in Response to HFD
Results of scotopic full-field ERGs revealed retinal function deficits. Representative scotopic (Fig. 7A) and photopic flicker (Fig. 7B) waveforms visibly show amplitude differences at 9 weeks of age, after 1 week of HFD. As shown in the intensity response curve, the CL + HFD group had lower a-wave (2-way ANOVA, F(6, 140) = 4.025, P < 0.001, P < 0.05; Fig. 7C) and b-wave (2-way ANOVA, F(12, 280) = 2.519, P < 0.01, P < 0.05; Fig. 7D) amplitudes. When analyzed over time, a-wave amplitudes did not significantly differ (mixed-effects, group*time: F(12, 260) = 1.686, P = 0.069; Fig. 7E), but a-wave implicit times (ITs) did differ (mixed-effects, group*time: F(12, 260) = 1.957, P < 0.05; Fig. 7F), with the CL + HFD group showing delayed ITs at 9 and 13 weeks (P < 0.05) and CD + HFD at 13 weeks (P < 0.05). There were also deficits in b-wave amplitudes over time (mixed-effects, group*time: F(12, 260) = 1.957, P < 0.05; Fig. 7G) in the CL + HFD group at 9 (P < 0.001) and 13 (P < 0.01) weeks of age. However, there were no differences in flicker b-wave amplitudes over time (mixed-effects, group*time: F(12, 255) = 1.699, P = 0.067; Fig. 7H) or in green cone b-wave amplitude when measured at 21 weeks of age (1-way ANOVA, F(3, 47) = 1.465, P = 0.236; Supplementary Fig. S2).
OPs, generated by amacrine cells in the inner retina,47 were also affected by HFD treatment (Supplementary Fig. S3). Amplitude deficits in OP2 (mixed-effects, group*time: F(12, 260) = 2.436, P < 0.01), but not OP4, occurred in the CL + HFD group at 9, 13, and 21 weeks (P < 0.05) and in the CD + HFD group at 21 weeks of age (P < 0.05). These results suggest HFD-induced impairment in ON-pathway and rod activity (OP2) but not in OFF-pathway and cone signaling (OP4).48
Increased Retinal Microglia and Macrophage Expression in Response to Altered Developmental Light Environment and HFD
Retinal inflammatory response increased significantly within CD + CON, CL + HFD, and CD + HFD groups (Fig. 8). CD11b-positive and Iba1-positive cells (labeling microglia and macrophages) were not only observed within the inner retinal layers, where they typically reside (ganglion cell layer [GCL], inner plexiform layer [IPL] and outer plexiform layer [OPL]), but were also found in the inner nuclear layer (INL) and reached the outer nuclear layer (ONL; Supplementary Fig. S4), where the cell bodies of rods and cones reside.
Imaging found no difference in CD11b staining in the OPL (Fig. 8E, 1-way ANOVA, F(3, 17) = 1.23, P = 0.33) or INL (1-way ANOVA, F(3, 17) = 1.49, P = 0.09); conversely, Iba1 staining was increased in the OPL (1-way ANOVA, F(3, 17) = 6.25, P = 0.0047) in the CD + HFD group. Comparatively, in the INL (Fig. 8F) Iba1 expression was greater (1-way ANOVA, F(3, 17) = 9.67, P = 0.02) in the CD + CON and CD + HFD groups. In the IPL, (Fig. 8G) CD11b increased (1-way ANOVA, F(3, 17) = 8.06, P = 0.0015) in both HFD groups, whereas Iba1 increased (1-way ANOVA, F(3, 17) = 15.87, P < 0.0001) in both CD groups. Likewise, in the GCL, (Fig. 8H) CD11b was increased (1-way ANOVA, F(3, 17) = 4.34, P = 0.019) in the CL + HFD group and Iba1 was increased (1-way ANOVA, F(3, 17) = 3.89, P = 0.028) in both CD groups.
Discussion
We investigated the influence of light environment on developmental programming of metabolic and visual outcomes. Developmental chronodisruption during a vulnerable window (E0 – 3 weeks) reduced visual function, altered retinal function, increased retinal microglial/macrophage activation, and impaired glucose tolerance in offspring (Fig. 9), with differences exacerbated after metabolic challenge with HFD. The findings of increased expression of retinal microglial and macrophage markers supports a role for immune system activation in mediating the visual function results.49–51 Overall, the findings support environmental light as a relevant exposure for developmental programming and DOHaD.
Although previous research using genetic knockouts has been useful in understanding the contribution of specific clock genes to development, the use of environmental light to cause circadian disruption is relevant in modeling human exposure and disease. Prior studies have found that developmental chronodisruption dampens maternal rhythms in corticosterone, FFAs, cholesterol, and triglycerides,45 and alters activity rhythms.31,45 Likewise, we report altered activity (see Fig. 2) and increased serum glucose in CD dams (see Fig. 3), although the glucose results may be due to disruption and timing of sample collection rather than mean differences since we did not take multiple measurements at specific time intervals. In offspring, maternal environmental circadian disruption causes increased adiposity, hyperleptinemia,22 altered glucose handling,22,31 anxiety-like behavior,6 and increased blood pressure31,52; however, previous studies have not characterized the effects on the visual system.
In this study, metabolic outcomes exhibited clear sex differences (see Figs. 4, 5, Supplementary Fig. S1), as previously reported.53–56 Although all males fed an HFD developed worse glucose tolerance, notably, only the CD + HFD females developed impaired glucose tolerance, suggesting a sex-specific interaction between developmental light environment and later nutritional challenge. These glucose tolerance results align with previous findings of altered glucose homeostasis and metabolism in offspring following developmental circadian disruption22,31 and suggest that developmental chronodisruption enacts sex-specific effects on metabolic programming.57,58
Developmental chronodisruption led to decreased visual function, the pace of which was quickened by HFD (see Fig. 6). HFD alone also impaired visual function, the impact of which has not been well studied59; a previous study utilizing a high-fat, high-sucrose diet reported no differences,60 whereas another reported decreased OMR responses after 2 months of HFD (Douglass, AJ et al. IOVS 2020;61:ARVO E-Abstract 2245). However, an optical coherence tomography angiography (OCTA) study uncovered rapid neurovascular decoupling after sugary beverage consumption,61 suggesting clinical relevance for acute nutritional challenge. OMR measures the accessory optic system reflex in the retina from velocity-selective and direction-selective ON retinal ganglion cells.62,63 The increased retinal expression of retinal microglial and macrophage markers in the GCL layer of CD and CD + HFD mice supports a potential role for immune system activation in driving the visual function results.
Developmental light treatment altered retinal function responses to HFD challenge (see Fig. 7). The largest ERG a-wave and b-wave amplitude deficits occurred acutely in the CL + HFD group, with partial recovery. The retina has high energy needs, is sensitive to metabolic perturbations,64 and utilizes both glucose and lipids as fuel65; acute metabolic imbalance due to increased dietary fat may have caused ERG amplitude deficits. Surprisingly, ERG amplitude deficits were attenuated in the CD + HFD group. Developmental CD may have influenced retinal response to metabolic challenge.
Inflammasome activation is a well-known contributor to retinal disease pathology. Our study is novel in its investigation of the effects of developmental CD with later life HFD challenge in regard to retinal inflammation (see Fig. 8). Several studies have described increased retinal inflammation associated with HFD, primarily in regard to its role in diabetes.59,66–70 In the retina, HFD induces toll-like receptor 4 (TLR4) dependent macrophages and microglial activation, a signaling pathway involved in chronic inflammation and insulin resistance.69 Likewise, retinal CD11b microglia and/or macrophages activation is observed in patients with diabetes and in diabetic animal models.71–73 In CD and HFD-treated mice, we found upregulation of Iba1-positive cells (microglia) and CD11b-positive cells (microglia and macrophages) within inner retinal layers (GCL, IPL, and OPL), as well as upregulation of Iba1 in the INL. Our results support that CD + HFD elicits a chronic inflammatory response within the inner retina. The circadian system regulates immune signaling,74–76 and increased microglial activation and astrogliosis occurs in mice with circadian clock gene knockout Rev-erbα77 and Arntl (Bmal1).78 As such, the upregulation in retinal inflammatory markers in CD mice may be due to lingering effects of developmental circadian disruption, aggravated by an HFD. This retinal inflammation correlates with the visual impairment and altered retinal function we found in CD-exposed and HFD-exposed offspring.
Several limitations should be kept in mind when interpreting our findings. As the C57BL/6J mouse strain is melatonin-deficient, these outcomes are independent of melatonin, a key circadian hormone and antioxidant; as untimely light exposure can disrupt melatonin production and rhythms in humans, the relevance of these results to human health requires further characterization of developmental circadian disruption in melatonin-proficient strains. Additionally, whereas the greatest difference in visual function from baseline was an approximately 0.1 unit decrease in spatial frequency in the CD + HFD group, it is unclear whether this change would affect fitness and how it would translate to human vision. In assessing the results, the 95% confidence intervals for the ERG and GTT AUC results were wider compared to the other outcomes, which suggests that a larger sample size may have provided more robust measures.
Environmental light and circadian disruption are ubiquitous exposures with great public health relevance. As genetic or environmental perturbation of the circadian system can affect retinal differentiation and neuronal development,79–83 and ipRGCs84 and opsins are active early in retinal development, the timing of light exposure during windows of early neuronal tissue development may impact later life vision outcomes. Our findings demonstrate reduced visual function, altered retinal function, impaired glucose tolerance, and upregulated retinal microglial and macrophage markers in mice developmentally chronodisrupted via environmental light. Likewise, environmental light programming may make offspring more vulnerable to developing metabolic and immune-mediated disease, such as diabetes and diabetic retinopathy. Further studies are also necessary to fully characterize the inflammatory responses associated with CD and HFD. Overall, these findings extend the prior research and collectively support environmental light as a relevant exposure3,85 for developmental programming and DOHaD research.
Supplementary Material
Acknowledgments
Supported by funding from the National Institutes of Health (NIH-NICHD F31 HD097918 [to D.A.C.T.], NIH-NIEHS T32 ES012870 [to D.A.C.T.], NIH-NIEHS P30ES019776 [to C.J.M.], and NIH-NEI Core Grant P30EY006360) and the Department of Veterans Affairs (Rehabilitation Research and Development Senior Research Career Scientist Award RX003134 [to M.T.P.]).
Author Contributions: D. Clarkson-Townsend designed the study, performed the experiments, analyzed the data, and wrote and edited the manuscript. K. Bales stained, imaged, quantified, and analyzed samples for immunofluorescence, and contributed to writing and editing of the manuscript. C. Marsit contributed to experimental design and editing of the manuscript. M. Pardue provided experimental resources and contributed to experimental design and editing of the manuscript.
Disclosure: D.A. Clarkson-Townsend, None; K.L. Bales, None; C.J. Marsit, None; M.T. Pardue, None
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